A113 Mechanical thrombectomy for distal vessel occlusions: a single-center retrospective analysis

<h3>Introduction</h3> Mechanical thrombectomy is well-established for large vessel occlusions, but its use in distal vessel occlusions (DVOs) remains controversial. Current literature often advises against intervention due to concerns over safety and uncertain clinical benefit. <h3>Aim of Study</h3> To evaluate the safety and effectiveness of mechanical thrombectomy in patients with primary DVOs and assess their clinical outcomes. <h3>Method</h3> We retrospectively analyzed 18 patients with acute ischemic stroke due to primary DVOs, treated at a single center in Milan using mechanical thrombectomy. We assessed recanalization success (mTICI score), neurological improvement (NIHSS), and functional outcomes (mRS at 90 days), along with procedural safety. <h3>Results</h3> Successful reperfusion (mTICI 2c/3) was achieved in 94% of the patients. Significant clinical improvement was noted, with 80% achieving mRS ≤2 at 90 days. No symptomatic intracranial hemorrhages occurred, and we reported no periprocedural complications. Only two patentis died for non neurological clinical compications. <h3>Conclusion</h3> Despite existing literature, and especially the last trial, cautioning against thrombectomy in DVOs, our findings suggest that mechanical thrombectomy is both safe and effective in selected patients. <h3>Conflict of Interest</h3> No